Individual provider Active NPI

Andrew Hoon Chung, PHARM D.

  • Pharmacist
  • Elmhurst, NY
National Provider Identifier
1114496957
Registry record updated Jan 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
064573 Issued in NY
Practice address
7611A Broadway
Elmhurst, NY 11373-1032
Phone
(718) 507-9277
Fax
(718) 507-9278
NPI assigned
Nov 23, 2018
Last updated
Jan 13, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 064573 NY Primary

Addresses

Primary practice location

7611A Broadway
Elmhurst, NY 11373-1032

Mailing address

310 Weatherly PL Apt B
College Point, NY 11356-1178
Phone (917) 369-4794

Other practice location 1

8507 Roosevelt Ave
Jackson Heights, NY 11372-7342
Phone (917) 331-3936

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
064573NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Sunrise Pharmacy I, Inc. CurrentSince Jan 19, 2020 Accepting new patients
Sunrise Pharmacy Inc. PastSince Jan 19, 2020 Accepting new patients

Locations

7611A Broadway
Elmhurst, NY 11373
Phone (718) 507-9277

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1542931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578873600000",
    "number": "1114496957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 WEATHERLY PL APT B",
            "city": "COLLEGE POINT",
            "state": "NY",
            "postal_code": "113561178",
            "telephone_number": "917-369-4794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7611A BROADWAY",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113731032",
            "telephone_number": "718-507-9277",
            "fax_number": "718-507-9278"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8507 Roosevelt Ave",
            "address_purpose": "LOCATION",
            "city": "Jackson Heights",
            "state": "NY",
            "postal_code": "113727342",
            "country_code": "US",
            "telephone_number": "917-331-3936",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "ANDREW",
        "middle_name": "HOON",
        "name_prefix": "Mr.",
        "credential": "PHARM D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-23",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "064573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.